Abstract
Fatalistic beliefs about cancer prevention can be a significant deterrent to one’s likelihood of engaging in cancer prevention behaviors. Lower education and less access to cancer information among rural residents may influence their level of cancer fatalism. The purpose of this study was to examine rural–urban differences in fatalistic beliefs about cancer prevention and cancer information sources using data from the 2007 Health Information National Trends Survey (n = 1,482 rural and 6,192 urban residents). Results showed that rural residents were more likely to endorse multiple fatalistic beliefs about cancer prevention than urban residents even after controlling for other significant demographic correlates. Urban residents were more likely to use the internet as their primary cancer information source, whereas rural residents were more likely to rely on print material and healthcare providers. Future educational work to communicate relevant and accurate cancer prevention information to rural residents should consider not only information access but also rural culture and fatalistic perspectives.
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References
Powe BD, Finnie R (2003) Cancer fatalism: the state of the science. Cancer Nurs 26:454–465
Freeman HP (1989) Cancer in the socioeconomically disadvantaged. CA Cancer J Clin 39:266–288
Powe BD (1995) Cancer fatalism among elderly Caucasians and African Americans. Oncol Nurs Forum 22:1355–1359
Perez-Stable EJ, Sabogal F, Otero-Sabogal R, Hiatt RA, McPhee SJ (1992) Misconceptions about cancer among Latinos and Anglos. JAMA 268:3219–3223
Niederdeppe J, Levy AG (2007) Fatalistic beliefs about cancer prevention and three prevention behaviors. Cancer Epidemiol Biomark Prev 16:998–1003
Arora NK, Hesse BW, Rimer BK, Viswanath K, Clayman ML, Croyle RT (2008) Frustrated and confused: the American public rates its cancer-related information-seeking experiences. J Gen Intern Med 23:223–228
Slenker SE, Spreitzer EA (1988) Public perceptions and behaviors regarding cancer control. J Cancer Educ 3:171–180
National Cancer Institute (1986) Technical report: cancer prevention awareness survey, wave II. Office of Cancer Communications, Washington, DC
Han PK, Moser RP, Klein WM (2007) Perceived ambiguity about cancer prevention recommendations: associations with cancer-related perceptions and behaviours in a US population survey. Health Expect Int J Public Particip Health Care Health Policy 10:321–336
Powe BD (1995) Fatalism among elderly African Americans. Effects on colorectal cancer screening. Cancer Nurs 18:385–392
Ubel PA (2002) Is information always a good thing? Helping patients make “good” decisions. Med Care 40:V39–V44
Hesse BW, Nelson DE, Kreps GL et al (2005) Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Arch Intern Med 165:2618–2624
Mayo RM, Ureda JR, Parker VG (2001) Importance of fatalism in understanding mammography screening in rural elderly women. J Women Aging 13:57–72
US Census Bureau (2000) Federal Register notice documenting qualifying urban areas for census. Available at http://www.access.gpo.gov/su_docs/fedreg/a020501c.html
Eberhardt MS, Ingram DD, Makuc DM (2001) Urban and rural health chartbook. Health, United States. National Center for Health Statistics, Hyattsville, p 2001
Economic Research Services (2004) Rural income, poverty, and welfare: rural poverty. US Department of Agriculture, Washington, DC, November. Available at http://www.ers.usda.gov/briefing/IncomePovertyWelfare/ruralpoverty/
Monroe AC, Ricketts TC, Savitz LA (1992) Cancer in rural versus urban populations: a review. J Rural Health 8:212–220
Coughlin SS, Richardson LC, Orelien J et al (2009) Contextual analysis of breast cancer stage at diagnosis among women in the United States, 2004. Open Health Serv Policy J 2:45–46
Doescher MP, Jackson JE (2009) Trends in cervical and breast cancer screening practices among women in rural and urban areas of the United States. J Public Health Manag Pract 15:200–209
Zahnd WE, Goldfarb J, Scaife SL, Francis ML (2010) Rural–urban differences in behaviors to prevent skin cancer: an analysis of the health information national trends survey. J Am Acad Dermatol 62:950–956
Patterson PD, Moore CG, Probst JC, Shinogle JA (2004) Obesity and physical inactivity in rural America. J Rural Health 20:151–159
Befort CA, Nazir N, Perri MG (2012) Prevalence of obesity among adults from rural and urban areas of the United States: findings from NHANES (2005–2008). J Rural Health 28:392–397
White NJ, Given BA, Devoss DN (1996) The advanced practice nurse: meeting the information needs of the rural cancer patient. J Cancer Educ 11:203–209
Howe HL, Katterhagen JG, Yates J, Lehnherr M (1992) Urban–rural differences in the management of breast cancer. Cancer Causes Control 3:533–539
Rural–Urban Continuum Codes. US Department of Agriculture, Economic Research Service. Available at http://www.ers.usda.gov/data/ruralurbancontinuumcodes/
Nelson DE, Kreps GL, Hesse BW et al (2004) The health information national trends survey (HINTS): development, design, and dissemination. J Health Commun 9:443–460
Pew Internet and American Life Project (2011) Broadband adoption. Available at http://www.pewinternet.org/∼/media//Files/Reports/2009/Home-Broadband-Adoption-2009.pdf
Peters K, Kashima Y, Clark A (2009) Talking about others: emotionality and the dissemination of social information. European J Social Psych 39:207–222
Powe BD, Weinrich S (1999) An intervention to decrease cancer fatalism among rural elders. Oncol Nurs Forum 26:583–588
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Befort, C.A., Nazir, N., Engelman, K. et al. Fatalistic Cancer Beliefs and Information Sources Among Rural and Urban Adults in the USA. J Canc Educ 28, 521–526 (2013). https://doi.org/10.1007/s13187-013-0496-7
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DOI: https://doi.org/10.1007/s13187-013-0496-7